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General NPI Number Information
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NPI Number | 1922807601
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Entity Type | Organization
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Legal Business Name | GATEWAY HEALTH CARE INC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1443 HARTFORD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-3224
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Country | US
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Telephone | 401-273-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ACRE DR
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City | JOHNSTON
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State | RI
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Zip | 02919-5502
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Country | US
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Telephone | 401-451-4114
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Fax |
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Authorized Official
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Title or Position | SUBSTANCE ABUSE COUNSELOR
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Name | DYANN L DRAGON
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Credential | CADC
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Telephone | 401-451-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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